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VENDOR REGISTRATION FORM

Organization (in full, in Block letters) : MYSORE DHARBAR


(Cheque will be issued in this name)
Head Office/Registered Office Address : Aditya Circle, Samanatha Nagara,
Dattagalli, Mysuru - 570023

Vendor Primary Contact Name : Avinash Kumar G S


Email ID :
Landline no of contact person : 9986984625
Mobile no of the contact person : Owner
Designation :
Primary profile : Sales / Support
Type of Organization Partnership
Sole Proprietary / Partnership / Private Limited
Company / Public Limited Company / Public
Sector / Individual / Limited Liability
Partnership

Bank Details
(Scan copy of
Cancelled cheque
required)
- Name of the IDBI BANK
Bank
- Branch Mysore

- Address ANAND ARCHADE,MIG- 11,V.M. DOUBLE


ROAD,SARASWATHIPURAM,KUVEMPUNAGAR,MYSOREKARNATAKA570009

- Account no 0281104000215305

- IFSC Code IBKL0000281

- Type of
Account Savings

Tax Details
- PAN Number Only To be provided at the time of Payment
(Scan Copy required)
- GST No NA
(Scan copy Required)
- CIN no NA
Registered under MSMED Act 2006: No
If yes, please provide certificate of
registration (Scan Copy required)

Registered Office: 4th floor, Vibgyour Tower, Plot no. C-62, G Block, BKC, Mumbai-400098
Registered Office: 4th floor, Vibgyour Tower, Plot no. C-62, G Block, BKC, Mumbai-400098

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